Behandeling van een eerste anterieure schouderluxatie. Niet altijd conservatief

Abstract

According to the current guidelines, primary anterior shoulder dislocations are treated conservatively after repositioning by short-term immobilisation of the shoulder. Shoulder stabilization surgery--either open or arthroscopically--reduces the risk of recurrence and improves the functional outcome over the long term. Active young adults are known to have up to a 90% increased risk of recurrent dislocation after the conservative treatment of a primary shoulder dislocation. Active young men particularly benefit from shoulder stabilization surgery. When comparing operative techniques, there is no difference between an open procedure and an arthroscopic procedure in terms of recurrence. The choice between open treatment and arthroscopic treatment depends on the preference of the patient and the experience of the surgeo